| NPI | 1376096768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209020451) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WI 165793-30) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 7021-33) | |
| 367A00000X Advanced Practice Midwife (Licence: IL CNM08060) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-03-21 |